HomeMy WebLinkAbout2717 -16324'7
~ Declaratio~ ot Dornicile and Cttise~ship ~
e ~
TO THE STATE AND COUNTY TAX ASSESSOR, j
Sl. IUCIE ~OUNTY, FLORIOA:
This is my declaration of Uomicile and Citizenship in the State of Florida that 1 am filing this day in acaordance and
~n conformity with Chapter 222, Section 222.17, Florida Statutes.
I was formerly a iegal resident of _B~44~ NlM Yorlc _
(Ciy) (State)
and 1 resided at ___(~$4~_ _~icSh Pond R°ad. ~ Howeve~ I havechanged my domiG~e
(Street and Number)
: ~
to and am and have been a bona fide resident of the State of Florida since ____215~----- day of
NQv~mber 1q-67 and I ~eside at 30T North 21st Stre~t ~
(Street and Number) _ '
FORT PIHtCE, SAINT LUCIE COUNTY, ROltIDA ~
and this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in the State of Florida.
(Inser~ here any pertine~t fads, such as sale of property or business, or relinquishment of employment
at former domicile, removal of family to new domicile, purchase of home, etc.)
~ .~stablish Residency for homestead purposes
o~,
o i
LE~ pN
G VC
tF
~V • ~
F~ C\E t n~
5~ • ~'VC.O~in ~ "
nE-
• 1~~4 • py
1•
~Et ~ ~4~ \ . ~
,~g J. -
i~~•~ ~a
- . :-.,~t ~o -c
CLc RK ~C~RC~~ .
1 FURTHER CERTIFY that I will comply with al) other requirements of a(egal resident of thia State. ~
i
i
I FURTHER CERTIFY that 1 have no intention to return to my former domic,ile, and I intend to remain in FORT ~
~
!
PIERCE, SAINT LUC E COUNTY, FLORIDA, permanently. ~
`y
(N Philip V. Jannazzo
(Address)
Sworn to and subscribed before me this 4tb day of January , ~q 68
. , -ROGER . POITRAS -
GIERK CIRCI:IT COU Notary Public
_ .
gy~~ ' D.C. My Commission expires
; : ~ -
f . . . . : ` : _ '
(To b~.~r~~id~in duptisah and ori~inal fil~d with Cl~rk C'ira~if Couif, and duplicm wilh Tax Ass~or.)
~1~9~26 ~
9~
~.,3 .
F~ - _